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DESIGN ENGINEER • ACCESSIBILITY ADVOCATE

Luke Gram

I turn complex clinical processes into experiences that are clear, usable, and human.

10+
YEARS DESIGNING
6+
YEARS LEADING TEAMS
3+
YEARS BUILDING SOFTWARE
My loop: research, design, code, ship — then repeat.
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§ 01

Selected work

Four case studies: AI in the EHR, clinical data, cross-stack UI, and accessible delivery. One password unlocks them all.

PATIENT DATA THAT TRAVELS ANYWHERE

Forming: turning paper intake into portable FHIR

Turns paper intake into one authored, coded FHIR form — AI-assisted and ready for outcomes, reporting, and billing.

Read case study
ADA & SECTION 504, ANSWERED

An accessibility program of one

A repeatable audit program for web, iOS, and Android: findings become VPATs, reporting, and Jira-ready remediation.

Read case study
AI, SHIPPED INTO THE CLINICAL WORKFLOW

Putting AI to work inside the EHR

Qualifacts' AI layer — ambient documentation, chart auditing, billing support. I design across the suite, and built the admin analytics app myself.

Read case study
ONE BRAND INPUT, ACCESSIBLE UI ON ANY STACK

Shipping a design system as a product

One brand hex becomes accessible UI across every stack, with published packages and accessibility enforced in CI.

Read case study
§ 02

What I bring

01

Many hats, one throughline

Visual design, motion, UI, UX — and now code and ship. I've gone deep in each of these over the years; what I'm proudest of is that I can take an idea the whole way — from sketch to something real and running — without it getting lost between hands. With AI helping me build, that reach now extends into engineering too. Fewer handoffs, fewer things lost in translation — a product that feels like one person cared about every part of it.

02

A decade in regulated healthcare

Ten years designing, six leading teams, the last stretch deep in behavioral-health EHRs: FHIR, CARIN, 42 CFR Part 2, HIPAA, ADA and Section 508. I know where AI has to be reviewable, safe, and defensible — not just impressive.

03

Systems that outlive the sprint

Published packages, CI gates, skills that teach AI agents our patterns, multi-pass review workflows, an accessibility audit that regenerates its own VPATs and reports — I build things that keep working when I'm not in the room.

§ 03

In their words

One of the most well-rounded designers I've ever worked with — a rare combination of deep UX thinking and sharp visual design, and work that consistently reflects thoughtfulness, attention to detail, and care. His standout contribution was a world-class design system, scalable across our enterprise, services, and mobile platforms, that raised the bar for the entire company. He's naturally inquisitive — never afraid to ask “why” — a true UX practitioner who listens to users with empathy and rigor, and a strong advocate for them even when it means challenging the business. He was also instrumental in shaping our early AI efforts. Any team would be lucky to have him.
Scott Leamon
Product Leader — managed Luke directly
He is a motivating and supportive manager who has helped me to learn and grow in my position. As a designer, he has an amazing ability to manage multiple projects in a fast-paced environment, all while coming up with creative design solutions. He knows how to bring a team together, and I'm truly grateful to have been able to work with and learn from him.
Victoria Jin
Senior Designer — reported to Luke